Home Health Groupings Model (HHGM)
ACTION ALERT TOOLKIT ONE PAGER
ElevatingHOME and VNAA strongly object to the proposed Home Health Groupings Model for Medicare home health benefit episodes of care.
Medicare Documentation (Face-to-Face)
ACTION ALERT ONE PAGER
ElevatingHOME and VNAA seek to minimize regulatory barriers to access and payment by ensuring fair Medicare documentation policies. We specifically advocate for changes in policy to allow home health agencies to provide the certification documentation; ensure fair and uniform implementation of the documentation requirements by the Medicare Administrative Contractors (MACs); and provide financial relief for past denials due to documentation requirements.
Home Health Payment Reform
ElevatingHOME and VNAA advocate for appropriate payment adjustments that recognize the impact of a beneficiary's socioeconomic and socio-demographic characteristics on resource utilization.
Access to Rural Providers
ACTION ALERT ONE PAGER
ElevatingHOME and VNAA advocate making permanent the rural payment add-on and identifying other policies to support access to care in rural areas.
Home Health Care Planning and Improvement Act (S. 445 / H.R. 1825)
This legislation would allow nurse practitioners, clinical nurse specialists, certified nurse midwives and physicians assistants to order home health services under Medicare in accordance with state law.
Gaining flexibility in traditional models:
ACO Improvement Act of 2017
This legislation provides sensible modifications to the Medicare Shared Savings Program (MSSP) to support the ability of accountable care organizations (ACOs) to achieve success by reducing unnecessary costs, improving quality and enhancing patient outcomes. The bill makes operational changes that will promote coordinated health care and encourage Medicare ACOs to succeed and remain a strong value-based healthcare initiative for the nation’s senior citizens. These modifications include allowing home health care operating with an ACO to provide services without the homebound requirement. This flexibility to the home health model will allow providers to prove their value and skill far beyond the homebound post-acute space and move care back home for many.
Hospice Payment Reform
ElevatingHOME and VNAA promote payment models that align resource utilization across a patient's stay and set payment rates based on patient characteristics that cannot be controlled for by the provide ElevatingHOME and VNAA promote payment models that align resource utilization across a patient's stay and set payment rates based on patient characteristics that cannot be controlled for by the provider.
Hospice Awareness and Advanced Care Planning
It is vital that there is better awareness among hospice by both consumers and clinicians.
The Patient Choice and Quality Care Act (S. 1334 / H.R. 2797)
ElevatingHOME strongly supports the Patient Choice and Quality Care Act (S. 1334 / H.R. 2797), introduced by Sens. Johnny Isakson (R-GA) and Mark Warner (D-VA) and Reps. Phil Roe (R-TN) and Earl Blumenauer (D-OR). This legislation would ensure patients with advanced illness receive extra support and care that reflects their wishes. Specifically, this legislation would test models of care and provide new grants to promote education about advance care planning. Additionally, this bill would strengthen the documentation of advance directives and portable treatment orders by hospitals, skilled nursing facilities, home health agencies and hospice programs, and create standards for incorporating advance care planning documents into electronic health records.
The Palliative Care and Hospice Education and Training Act (S. 693 / H.R. 1676)
ElevatingHOME strongly supports the Palliative Care & Hospice Education and Training Act (PCHETA). The bill was introduced by Sens. Tammy Baldwin (D-WI) and Shelley Moore Capito (R-WV) and Reps. Eliot Engel (D-NY), Tom Reed (R-NY) and Buddy Carter (R-GA). This legislation would establish education centers and career incentive awards to improve the training of doctors, nurses, physician assistants, social workers and other health professionals in palliative care. PCHETA would also strengthen clinical practice and improve health care delivery for patients living with serious illness and their families by directing funding toward palliative care research. PCHETA would direct the implementation of a national education and awareness campaign so that patients, families and health professionals understand the essential role of palliative care.
Compassionate Care Act
Introduced by Sens. Richard Blumenthal (D-CT) and Shelley Moore Capito (R-WV) in the 114th Congress, this legislation would develop and implement consumer and provider education campaigns and programs to raise awareness and develop skills on how to discuss and help patients and their loved ones with advance care planning and palliative care. Additionally, this bill establishes a demonstration project to reimburse eligible entities for costs associated with the use of telemedicine services to provide advance care planning.
Advanced Care Models
ElevatingHOME and VNAA support the development of new models of care that provide individuals with serious illness holistic, person-centered palliative care services in conjunction with curative treatments. ElevatingHOME advocates for the reimbursement for advanced care planning, palliative care services, and clinician training to deliver those services.
Removing Barriers to Person-Centered Care Act
Introduced by Sen. Sheldon Whitehouse (D-RI) in the 114th Congress, this legislation would test a shared savings payment model in up to twenty “advanced care collaboratives” to deliver coordinated, person-centered care to Medicare beneficiaries with advanced illnesses. Each collaborative would receive a planning grant to conduct a needs assessment; modify, upgrade, or purchase health information technology; and support education and training on documenting and communicating beneficiary treatment preferences and goals. Under the terms of this pilot program, the Secretary would waive certain Medicare payment rules and regulations and cover two new services under the hospice benefit.